Answer to Question 1
D
The most therapeutic communication is the one that does the following: addresses the patient by name (this assesses the patient's ability to listen and respond to the nurse) and offers information in a matter-of-fact way (this addresses the well part of the patient's communication, that is, the part in which the patient asks, When is my doctor coming?). The patient's communication is appropriate and needs to be acknowledged in a respectful manner. The best response promotes structure for the patient by offering a plan that suggests a shower (Maslow's hierarchy: the patient will feel better physically while waiting for the doctor) and provides breakfast on the unit with the structure of a reduced-stimulus milieu. (The patient may be escalating, so it is better to order a tray on the unit if the patient is usually able to go to breakfast in the cafeteria.)
Answer to Question 2
B
A pathology paradigm focuses on a disease-based medical model and a view of families as being pathological, pathogenic, or dysfunctional. The competence paradigm focuses on adaptive behaviors, care that is congruent with culture, and a cooperative partnership between patient and health care providers.
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Patient Teaching
A patient examination room should be simple and efficiently designed.
Reputable Websites for Patient Education Cont.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)